00641149535 — 25 Ampule In 1 Carton (0641-1495-35) / 1 Ml In 1 Ampule (0641-1495-31)
Cite this view
HANK Price Transparency. (n.d.). 25 AMPULE in 1 CARTON (0641-1495-35) / 1 mL in 1 AMPULE (0641-1495-31) (OTHER 00641149535) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/00641149535?code_type=OTHER
“25 AMPULE in 1 CARTON (0641-1495-35) / 1 mL in 1 AMPULE (0641-1495-31) (OTHER 00641149535) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00641149535?code_type=OTHER. Accessed .
“25 AMPULE in 1 CARTON (0641-1495-35) / 1 mL in 1 AMPULE (0641-1495-31) (OTHER 00641149535) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00641149535?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,878–$2,878 (25th–75th percentile) across 1 hospital · 10 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 00641149535 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| WARM SPRINGS MEDICAL CENTER Inpatient | Wellcare | Medicare | $2,878.00 | $2,878.00 | $1,439.00 | 2026-07-18 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Inpatient | Cigna | Medicare | $2,878.00 | $2,878.00 | $1,439.00 | 2026-07-18 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Inpatient | Cigna | Commercial | $2,878.00 | $2,878.00 | $1,439.00 | 2026-07-18 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Inpatient | Caresource | Medicaid | $2,878.00 | $2,878.00 | $1,439.00 | 2026-07-18 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Inpatient | Humana | Commercial Ppo | $2,878.00 | $2,878.00 | $1,439.00 | 2026-07-18 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Inpatient | Humana | Medicare | $2,878.00 | $2,878.00 | $1,439.00 | 2026-07-18 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Inpatient | Amerigroup | Medicaid | $2,878.00 | $2,878.00 | $1,439.00 | 2026-07-18 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Inpatient | Tricare | Commercial | $2,878.00 | $2,878.00 | $1,439.00 | 2026-07-18 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Inpatient | Uhc | Commercial | $2,878.00 | $2,878.00 | $1,439.00 | 2026-07-18 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Inpatient | Uhc | Medicare | $2,878.00 | $2,878.00 | $1,439.00 | 2026-07-18 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Inpatient | Aetna | Commercial | $2,878.00 | $2,878.00 | $1,439.00 | 2026-07-18 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Inpatient | Bcbs | Commercial | $2,878.00 | $2,878.00 | $1,439.00 | 2026-07-18 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Inpatient | Peachstate | Medicaid | $2,878.00 | $2,878.00 | $1,439.00 | 2026-07-18 | MRF ↗ |